Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Vantryce Fitzpatrick

Individual provider Occupational Therapy Assistant · NPI 1760282008

Raven Vantryce Fitzpatrick is an Occupational Therapy Assistant in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5 Peachtree Ln
Fairview Heights, IL 62208-3801
Phone: (618) 803-0372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X (IL)

Record details

NPI number1760282008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address5 Peachtree Ln, Fairview Heights, IL 62208-3801